MEDICARE: OPTIMUM SLEEP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RS0012X	Sleep Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1609060052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMUM SLEEP, LLC

Provider Business Mailing Address
First Line	:	2718 CADIZ ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6930
Country	:	US
Telephone Number	:	504-875-4154
Fax Number	:	504-875-4160

Provider Business Practice Location Address
First Line	:	2718 CADIZ ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6930
Country	:	US
Telephone Number	:	504-875-4154
Fax Number	:	504-875-4160

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARK ANTHONY MCCARTHY
Credential	:	MD
Telephone Number	:	504-813-8533

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	01/31/2015

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Directions to “OPTIMUM SLEEP, LLC ” Practice Location

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